Inspection Reports for
Eskaton Granite Bay

8550 Barton Rd, Granite Bay, CA 95746, CA, 95746

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 0 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

Same as California average
California average: 4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2020
2021
2022
2023
2024
2025
2026

Census

Latest occupancy rate 65% occupied

Based on a March 2026 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

60 80 100 120 140 Nov 2020 Apr 2022 Dec 2022 Mar 2024 Sep 2025 Mar 2026

Inspection Report

Complaint Investigation
Census: 77 Capacity: 118 Deficiencies: 0 Date: Mar 12, 2026

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were not answering communications from a resident’s family and that facility staff did not properly report an incident.

Complaint Details
The complaint investigation was unsubstantiated regarding failure to answer communications from resident’s family and unfounded regarding failure to properly report an incident. The resident’s responsible party was notified and communication was confirmed.
Findings
The investigation found the allegations unsubstantiated and unfounded. Interviews and documentation review showed that the facility communicated frequently with the resident's responsible party and properly reported the incident. No deficiencies were cited.

Report Facts
Capacity: 118 Census: 77

Employees mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the complaint investigation and delivered findings
Alicia RistRegional Director of OperationsMet with Licensing Program Analyst during investigation
Kay DevaultFormer Executive DirectorInterviewed during investigation
Laura MunozSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 79 Capacity: 118 Deficiencies: 0 Date: Sep 18, 2025

Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff did not ensure reporting requirements were followed.

Complaint Details
The complaint alleged that staff did not ensure reporting requirements were followed. The allegation was found to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found the allegation to be unfounded after reviewing records and conducting interviews. No deficiencies were cited, and the facility demonstrated appropriate actions regarding pest control and communication with residents and families.

Report Facts
Capacity: 118 Census: 79

Employees mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the complaint investigation and delivered findings
Kay DevaultExecutive DirectorSpoke with Licensing Program Analyst by phone during investigation
Dina JonesActivities DirectorMet with Licensing Program Analyst at the facility during investigation

Inspection Report

Complaint Investigation
Census: 79 Capacity: 118 Deficiencies: 0 Date: Sep 18, 2025

Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2025-09-11 regarding staff not ensuring reporting requirements were followed.

Complaint Details
The allegation was that staff did not ensure reporting requirements were followed. The investigation included review of an Unusual Incident/Injury Report about bed bugs found in a resident's room, notification to family and physician, and pest control actions. The allegation was found to be unfounded.
Findings
The investigation found the allegation to be unfounded based on interviews, documentation review, and evidence of pest control measures. No deficiencies were cited.

Report Facts
Capacity: 118 Census: 79

Employees mentioned
NameTitleContext
Angela HoodLicensing Program AnalystConducted the complaint investigation and interviews
Kay DevaultExecutive DirectorFacility administrator involved in investigation
Dina JonesActivities DirectorMet with Licensing Program Analyst during investigation

Inspection Report

Complaint Investigation
Census: 80 Capacity: 118 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not meeting residents' needs.

Complaint Details
The complaint alleged that staff were not meeting residents' needs. The investigation included interviews with the Executive Director, Resident Care Coordinator, and a resident, as well as a review of records. The complaint was determined to be unfounded.
Findings
Interviews and record reviews indicated that staff were meeting residents' care needs, monitoring residents for safety, and responding to calls for assistance in a timely manner. The complaint was found to be unfounded.

Report Facts
Capacity: 118 Census: 80 Medication passes: 2 Resident check-ins: 4 Hospice nurse visits: 2

Employees mentioned
NameTitleContext
Cassandra MikkelsonLicensed Program AnalystConducted the complaint investigation and delivered findings
Dina JonesLife Enrichment DirectorMet with the investigator and provided information during the investigation
Kimberly DelgadoAdministratorFacility administrator named in the report header

Inspection Report

Complaint Investigation
Census: 80 Capacity: 118 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were charging residents for services not rendered.

Complaint Details
The complaint alleged that staff were charging residents for services not rendered. The investigation included interviews, facility tour, and document review. The allegation was determined to be unfounded, meaning it was false or without reasonable basis.
Findings
The investigation found that residents and responsible parties were aware of charges based on signed admission agreements. Records and interviews confirmed that meal tray services were provided and paid for as agreed, and residents expressed satisfaction with the meal services. The allegation was found to be unfounded.

Report Facts
Capacity: 118 Census: 80

Employees mentioned
NameTitleContext
Cassandra MikkelsonLicensed Program AnalystConducted the complaint investigation and delivered findings
Dina JonesLife Enrichment DirectorMet with the investigator and involved in delivering findings

Inspection Report

Complaint Investigation
Census: 80 Capacity: 118 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff were not meeting residents' needs.

Complaint Details
The complaint alleged that staff were not meeting residents' needs. The investigation found the allegations to be unfounded, meaning the allegations were false, could not have happened, and/or were without reasonable basis.
Findings
The investigation included interviews, a facility tour, and documentation review. The findings determined the allegations to be unfounded, with staff meeting residents' care needs, monitoring safety, and responding timely to calls for assistance.

Report Facts
Capacity: 118 Census: 80

Employees mentioned
NameTitleContext
Cassandra MikkelsonLicensed Program AnalystConducted the complaint investigation and delivered findings
Dina JonesLife Enrichment DirectorMet with the evaluator during the investigation
Kimberly DelgadoAdministratorFacility administrator named in the report
Laura MunozSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 80 Capacity: 118 Deficiencies: 0 Date: Jul 23, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were charging residents for services not rendered.

Complaint Details
The complaint alleged that staff were charging residents for services not rendered. The investigation included interviews, facility tour, and documentation review. The allegation was determined to be unfounded.
Findings
The investigation found that residents and responsible parties were aware of charges based on signed admission agreements. Records and interviews confirmed that meals were rendered and paid for, and residents receiving meal trays were satisfied with the service. The allegation was found to be unfounded.

Report Facts
Capacity: 118 Census: 80

Employees mentioned
NameTitleContext
Cassandra MikkelsonLicensed Program AnalystConducted the complaint investigation and delivered findings
Dina JonesLife Enrichment DirectorMet with the evaluator during the investigation

Inspection Report

Annual Inspection
Census: 75 Capacity: 118 Deficiencies: 0 Date: Mar 27, 2025

Visit Reason
The inspection was conducted as a required unannounced annual inspection of the facility.

Findings
The facility was found to be large, clean, and well-maintained with no deficiencies cited. Resident apartments are being renovated, and the kitchen and food storage meet regulatory requirements. Resident and staff interviews indicated satisfaction, and required documentation was reviewed and found complete.

Report Facts
Resident files reviewed: 7 Staff files reviewed: 5

Employees mentioned
NameTitleContext
Kimberly DelgadoExecutive DirectorMet with Licensing Program Analyst during inspection
Todd TryonLicensing Program AnalystConducted the inspection
Troy OrdonezLicensing Program ManagerNamed in report header

Inspection Report

Annual Inspection
Census: 75 Capacity: 118 Deficiencies: 0 Date: Mar 27, 2025

Visit Reason
The inspection was conducted as a required unannounced annual inspection of the facility on 03/27/2025.

Findings
The facility was found to be large, clean, and well-maintained with adequate food supplies and various resident activities. The facility appeared to be in substantial compliance with regulations, and no deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Kimberly DelgadoExecutive DirectorMet with during the inspection and involved in review of CARE Tool.

Inspection Report

Annual Inspection
Census: 85 Capacity: 118 Deficiencies: 0 Date: Mar 21, 2024

Visit Reason
The inspection was conducted as a required unannounced annual inspection of the facility.

Findings
The facility was found to be in substantial compliance with regulations. The environment was clean, well-maintained, and residents appeared comfortable. No deficiencies were cited during this visit.

Report Facts
Residents interviewed: 3 Staff interviewed: 3 Resident files reviewed: 5 Staff files reviewed: 4 Resident rooms toured: 6

Employees mentioned
NameTitleContext
Kristy AshleyResident Care CoordinatorMet with during inspection and reviewed CARE Tool

Inspection Report

Annual Inspection
Census: 85 Capacity: 118 Deficiencies: 0 Date: Mar 21, 2024

Visit Reason
The inspection was conducted as a required annual unannounced visit to evaluate the facility's compliance with regulations.

Findings
The facility was found to be large, clean, and well-maintained with adequate food supplies and various resident activities. No deficiencies were cited, and the facility appeared to be in substantial compliance with regulations.

Report Facts
Residents interviewed: 3 Resident files reviewed: 5 Staff files reviewed: 4 Staff interviewed: 3 Resident rooms toured: 6 Food supply requirements: 2 Food supply requirements: 7

Employees mentioned
NameTitleContext
Kristy AshleyResident Care CoordinatorMet with during the inspection and reviewed CARE Tool
Todd TryonLicensing EvaluatorConducted the inspection
Troy OrdonezSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 96 Capacity: 118 Deficiencies: 0 Date: Aug 8, 2023

Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2023-07-31 alleging issues including medication errors, staff refusing to give medication, unmet resident hygiene needs, untrained staff, fire doors propped open illegally, staff yelling at residents, and injuries not addressed by staff.

Complaint Details
Complaint was received on 2023-07-31 and investigated on 2023-08-08. The allegations were found to be unfounded based on interviews, record reviews, and observations.
Findings
The investigation found no evidence to support the allegations. Medication administration was timely with no missed doses, hygiene needs were met, staff were properly trained, and the fire door issue was resolved prior to the visit. No staff yelling or untreated injuries were observed. The allegations were determined to be unfounded.

Report Facts
Capacity: 118 Census: 96

Employees mentioned
NameTitleContext
Melissa ParksLicensing Program AnalystConducted the complaint investigation
Kimberly DelgadoAdministratorFacility administrator met during the investigation
Maribeth SentyLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Complaint Investigation
Census: 96 Capacity: 118 Deficiencies: 0 Date: Aug 8, 2023

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2023-07-31 alleging multiple issues including medication errors, staff refusing to give medication, unmet resident hygiene needs, staff not trained, fire doors propped open illegally, staff yelling at residents, and injuries not addressed by staff.

Complaint Details
The complaint was investigated and found to be unfounded based on interviews, record reviews, and observations. The preponderance of evidence standard was not met for any of the allegations.
Findings
The investigation found no evidence to support the allegations. Medication administration was timely with no missed doses, staff were adequately trained, hygiene needs were met, no staff yelling was observed, injuries were addressed, and the fire door was repaired and functioning properly. The allegations were determined to be unfounded.

Report Facts
Capacity: 118 Census: 96

Employees mentioned
NameTitleContext
Melissa ParksLicensing Program AnalystConducted the complaint investigation
Kimberly DelgadoAdministratorFacility administrator met during investigation

Inspection Report

Annual Inspection
Census: 86 Capacity: 118 Deficiencies: 0 Date: Feb 2, 2023

Visit Reason
The inspection was conducted as a required unannounced annual inspection to evaluate the facility's compliance with health and safety regulations.

Findings
During the annual inspection, all resident and staff files contained the required paperwork and training. The facility was toured, and no health or safety violations were observed. No deficiencies were cited.

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorAdministrator present during the inspection and involved in the facility tour.
Melissa ParksLicensing Program AnalystConducted the inspection and reviewed resident and staff files.

Inspection Report

Annual Inspection
Census: 86 Capacity: 118 Deficiencies: 0 Date: Feb 2, 2023

Visit Reason
The inspection was conducted as the required annual unannounced inspection to evaluate the facility's compliance with health and safety regulations.

Findings
During the annual inspection, all resident and staff files were reviewed and found to contain the required paperwork and training. The facility was toured, and no health or safety violations were observed. No deficiencies were cited.

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorFacility administrator present during inspection and involved in facility tour.
Melissa ParksLicensing EvaluatorConducted the annual inspection.

Inspection Report

Complaint Investigation
Census: 88 Capacity: 118 Deficiencies: 0 Date: Dec 12, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff were locking resident doors.

Complaint Details
The complaint alleged that staff were locking resident doors. The allegation was investigated and found to be unfounded based on the evidence and interviews conducted.
Findings
The investigation found that staff lock resident doors based on resident preference, residents can exit their rooms by turning the door handle, and residents are given door keys upon move-in. The allegation was found to be unfounded as there was no reasonable basis for the complaint.

Report Facts
Capacity: 118 Census: 88 Estimated Days of Completion: 0

Employees mentioned
NameTitleContext
Kim DelgadoAdministratorMet with during investigation and discussed allegation
Melissa ParksLicensing Program AnalystConducted the complaint investigation
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 88 Capacity: 118 Deficiencies: 0 Date: Dec 12, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to an allegation that staff were locking resident doors.

Complaint Details
The complaint allegation was that staff were locking resident doors. The allegation was investigated and found to be unfounded based on the evidence.
Findings
The investigation found that staff lock resident doors based on resident preference, residents can exit their rooms by turning the door handle, and all residents are given door keys. The allegation was found to be unfounded.

Report Facts
Capacity: 118 Census: 88

Employees mentioned
NameTitleContext
Kim DelgadoAdministratorMet with during the investigation and discussed the allegation
Melissa ParksLicensing EvaluatorConducted the complaint investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 118 Deficiencies: 0 Date: Oct 31, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/24/2022 regarding food service guidelines, food storage cleanliness, food handling hygiene, and facility odor.

Complaint Details
The complaint investigation was unannounced and addressed multiple allegations including improper food service practices and facility odor. The findings were unsubstantiated for food service related allegations and unfounded for the odor allegation.
Findings
The investigation found no substantiated violations related to food service guidelines, food storage cleanliness, or food handling hygiene, with observations of proper handwashing, glove use, and clean food storage areas. The allegation of the facility being malodorous was found to be unfounded after inspections and resident interviews.

Report Facts
Capacity: 118 Census: 85

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorMet with Licensing Program Analyst during the complaint investigation
Lavinia MuscanLicensing Program AnalystConducted the complaint investigation
Laura MunozLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 118 Deficiencies: 0 Date: Oct 31, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 08/22/2022 regarding the facility's care related to residents' incontinence, dietary needs, grooming assistance, and observation for change in condition.

Complaint Details
The complaint investigation addressed allegations that the facility did not meet residents' incontinence needs, dietary needs, grooming assistance, and that staff did not regularly observe residents for changes in condition. The findings concluded the allegations were unsubstantiated or unfounded, meaning no violations were proven.
Findings
The investigation included interviews with staff and residents, review of facility records, and observation of facility operations. The allegations were found to be unsubstantiated or unfounded due to lack of preponderance of evidence supporting the claims. The facility was found to meet residents' needs as required and documented.

Report Facts
Capacity: 118 Census: 85 Number of staff interviewed: 4 Number of residents interviewed: 6

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorMet with during inspection and involved in exit interview
Lavinia MuscanLicensing Program AnalystConducted the complaint investigation
Laura MunozLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 118 Deficiencies: 0 Date: Oct 31, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/24/2022 regarding food service guideline violations, food storage cleanliness, food handling hygiene, and facility odor issues.

Complaint Details
The complaint investigation was unannounced and addressed multiple allegations including improper food service practices, unclean food storage, poor hygiene in food handling, and facility odor. The findings were unsubstantiated for food-related allegations and unfounded for the odor complaint.
Findings
The investigation found no preponderance of evidence to substantiate the allegations related to food service and hygiene; food storage areas were clean, staff had proper food handling training, and proper hygiene was observed. The complaint alleging the facility was malodorous was found to be unfounded after inspection and resident interviews.

Report Facts
Capacity: 118 Census: 85

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorMet with Licensing Program Analyst during complaint investigation
Lavinia MuscanLicensing Program AnalystConducted the complaint investigation
Laura MunozSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 85 Capacity: 118 Deficiencies: 0 Date: Oct 31, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 08/22/2022 regarding the facility's failure to meet residents' incontinence, dietary, grooming needs, and failure to regularly observe residents for change in condition.

Complaint Details
The complaint investigation addressed allegations that the facility did not meet residents' incontinence, dietary, and grooming needs, and that staff did not regularly observe residents for changes in condition. After review and interviews, the allegations were found to be unsubstantiated or unfounded.
Findings
The investigation included interviews with staff and residents, review of facility records, and observation of the facility. The allegations were found to be unsubstantiated or unfounded due to lack of preponderance of evidence. The facility was found to meet residents' needs as required and documented.

Report Facts
Capacity: 118 Census: 85

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorMet with Licensing Program Analyst during complaint investigation
Lavinia MuscanLicensing Program AnalystConducted complaint investigation
Laura MunozSupervisorSupervisor overseeing complaint investigation

Inspection Report

Complaint Investigation
Census: 91 Capacity: 118 Deficiencies: 0 Date: May 3, 2022

Visit Reason
Unannounced complaint investigation visit conducted in response to multiple allegations including rough handling of residents, failure to assist residents timely, insufficient staffing, inadequate food service, lack of fire drills, and untrained staff.

Complaint Details
The complaint investigation was unannounced and addressed allegations of rough handling of residents, delayed assistance, insufficient staffing, inadequate food service, lack of fire drills, and untrained staff. The findings were unsubstantiated or unfounded based on interviews, documentation review, and observations.
Findings
All allegations were investigated through interviews with staff and residents, review of facility documentation, and direct observations. The investigation found no preponderance of evidence to substantiate any of the allegations; all were determined to be unsubstantiated or unfounded.

Report Facts
Capacity: 118 Census: 91 Staffing levels: 4 Staffing levels: 2 Staffing levels: 2 Staffing levels: 3 Staffing levels: 2 Staffing levels: 1 Fire drills: 5 Food storage duration: 2 Food storage duration: 7 Staff interviewed: 6 Residents interviewed: 3 Staff interviewed: 3 Caregiver files reviewed: 5

Employees mentioned
NameTitleContext
Bethany MirlohiLicensing Program AnalystConducted the complaint investigation and authored the report
Kimberly DelgadoAdministratorFacility administrator met with Licensing Program Analyst during investigation
Troy OrdonezLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 91 Capacity: 118 Deficiencies: 0 Date: May 3, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-01-03 regarding staff handling residents roughly, failure to assist residents timely, insufficient staffing, inadequate food service, lack of fire drills, and untrained staff.

Complaint Details
The complaint investigation addressed multiple allegations including rough handling of residents, delayed assistance, insufficient staffing, inadequate food service, lack of fire drills, and untrained staff. After interviews with staff and residents, review of facility documentation, and observations, all allegations were found to be unsubstantiated or unfounded.
Findings
The investigation found all allegations to be unsubstantiated or unfounded. Staff handling residents roughly, failure to assist timely, and insufficient staffing allegations were unsubstantiated due to lack of evidence. Allegations regarding inadequate food service, lack of fire drills, and untrained staff were found to be unfounded based on interviews, documentation review, and observations.

Report Facts
Capacity: 118 Census: 91 Number of care staff interviewed: 6 Number of residents interviewed: 3 Number of caregiver files reviewed: 5 Fire drills dates reviewed: 5

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorFacility Administrator met with Licensing Program Analyst during investigation
Bethany MirlohiLicensing Program AnalystEvaluator who conducted the complaint investigation
Troy OrdonezSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Annual Inspection
Census: 94 Capacity: 118 Deficiencies: 0 Date: Apr 12, 2022

Visit Reason
The inspection was an unannounced annual visit conducted using the infection control tool to ensure health and safety compliance at the facility.

Findings
The facility was found to be in substantial compliance with infection control standards, with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

Report Facts
Residents: 94 Capacity: 118

Employees mentioned
NameTitleContext
Kimberly DelgadoFacility AdministratorMet with Licensing Program Analysts during the inspection and involved in the facility tour
Lavinia MuscanLicensing Program AnalystConducted the inspection along with B. Mirlohi
B. MirlohiLicensing Program AnalystConducted the inspection along with Lavinia Muscan

Inspection Report

Annual Inspection
Census: 94 Capacity: 118 Deficiencies: 0 Date: Apr 12, 2022

Visit Reason
The inspection was an unannounced annual visit conducted using the infection control tool to ensure health and safety compliance at the facility.

Findings
The facility was found to be in substantial compliance with infection control requirements, with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.

Report Facts
Residents: 94 Capacity: 118

Employees mentioned
NameTitleContext
Kimberly DelgadoFacility AdministratorMet with Licensing Program Analysts during the inspection
B. MirlohiLicensing Program AnalystConducted the inspection
Lavinia MuscanLicensing Program AnalystConducted the inspection and signed the report
Troy OrdonezSupervisorSupervisor overseeing the inspection

Inspection Report

Annual Inspection
Census: 91 Capacity: 118 Deficiencies: 0 Date: Dec 17, 2021

Visit Reason
Unannounced annual visit using the infection control tool to ensure health and safety of residents and compliance with COVID-19 protocols.

Findings
No immediate health, safety, or personal rights violations were observed. The facility was found to be in substantial compliance with infection control requirements. No deficiencies were cited.

Employees mentioned
NameTitleContext
Kimberly DelgadoFacility AdministratorMet with Licensing Program Analysts during the inspection and involved in the facility tour.
Lavinia MuscanLicensing Program AnalystConducted the unannounced annual visit and infection control inspection.

Inspection Report

Complaint Investigation
Census: 91 Capacity: 118 Deficiencies: 0 Date: Dec 17, 2021

Visit Reason
The visit was conducted due to an incident report submitted by the facility regarding a resident who had something stuck in their throat and was sent to the hospital on 12/14/2021.

Complaint Details
Visit was complaint-related due to an incident report about a resident choking incident on 12/14/2021. No deficiencies were cited.
Findings
During the visit, documentation showed the resident required no assistance with activities of daily living prior to the incident, and the facility is reassessing the resident upon return from the hospital. No deficiencies were cited based on the information provided.

Employees mentioned
NameTitleContext
Kimberly DelgadoFacility AdministratorMet with Licensing Program Analysts during the visit and provided documentation related to the incident.
Lavinia MuscanLicensing Program AnalystConducted the case management visit.
Troy OrdonezLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Annual Inspection
Census: 91 Capacity: 118 Deficiencies: 0 Date: Dec 17, 2021

Visit Reason
The inspection was an unannounced annual visit conducted using the infection control tool to ensure health and safety compliance, including COVID-19 protocols.

Findings
No immediate health, safety, or personal rights violations were observed. The facility was found to be in substantial compliance with infection control requirements, and no deficiencies were cited.

Employees mentioned
NameTitleContext
Kimberly DelgadoFacility AdministratorMet with Licensing Program Analysts during the inspection and involved in infection control domain completion.

Inspection Report

Complaint Investigation
Census: 91 Capacity: 118 Deficiencies: 0 Date: Dec 17, 2021

Visit Reason
The visit was conducted due to an incident report submitted by the facility regarding a resident who had something stuck in their throat and was sent to the hospital on 12/14/2021.

Complaint Details
The visit was triggered by an incident report related to a resident choking incident on 12/14/2021. No deficiencies were cited.
Findings
During the visit, the facility provided documentation that the resident required no assistance with activities of daily living prior to the incident, and the facility is reassessing the resident upon return from the hospital. No deficiencies were cited based on the information provided.

Report Facts
Capacity: 118 Census: 91

Employees mentioned
NameTitleContext
Kimberly DelgadoFacility AdministratorMet with Licensing Program Analysts during the visit
Lavinia MuscanLicensing EvaluatorConducted the inspection visit
Troy OrdonezSupervisorSupervisor overseeing the inspection

Inspection Report

Complaint Investigation
Census: 82 Capacity: 118 Deficiencies: 0 Date: Apr 30, 2021

Visit Reason
The visit was a Case Management Visit regarding a recent AWOL incident where a resident left the facility without assistance twice within 24 hours.

Complaint Details
The complaint involved a resident leaving the facility unassisted twice in 24 hours. The resident was located and returned safely. The facility addressed the monitoring system failure and no further AWOL issues were reported.
Findings
The facility reported that the resident left twice but returned safely both times. The wonder guard wrist monitor failed to notify staff during the second elopement due to a system update issue, which has since been fixed. No deficiencies were cited during the visit.

Report Facts
Residents not allowed to leave unassisted: 12 Residents using wonder guards: 3

Employees mentioned
NameTitleContext
Kimberly DelgadoExecutive DirectorMet with Licensing Program Analyst during visit and provided information about the incident
Konnor LeitzellLicensing Program AnalystConducted the Case Management Visit and authored the report
Troy OrdonezLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Census: 82 Capacity: 118 Deficiencies: 0 Date: Apr 30, 2021

Visit Reason
The visit was a Case Management Visit regarding a recent AWOL incident where a resident left the facility without assistance twice within 24 hours.

Findings
The facility reported that the resident left twice but returned safely both times. The wonder guard wrist monitor failed to notify staff during the second elopement due to a system update issue, which has since been fixed. No deficiencies were cited during the visit.

Report Facts
Residents not allowed to leave unassisted: 12 Residents using wonder guards: 3

Employees mentioned
NameTitleContext
Kimberly DelgadoExecutive DirectorFacility representative interviewed during the visit
Konnor LeitzellLicensing Program AnalystConducted the Case Management Visit
Troy OrdonezSupervisorSupervisor overseeing the licensing evaluation

Inspection Report

Capacity: 118 Deficiencies: 0 Date: Dec 11, 2020

Visit Reason
The visit was an unannounced office conference call to discuss the requirement of wearing face masks within the facility at all times, prompted by reports that staff were not properly wearing face coverings inside the facility.

Findings
The facility staff were generally compliant with wearing masks and face shields, with exceptions for three staff members who have health conditions allowing alternative face coverings. The regional office reviewed the face mask requirements and warned of repercussions for future violations.

Employees mentioned
NameTitleContext
Tighe HammamVP of Residential ServicesParticipated in the conference call and discussed staff mask-wearing compliance and exceptions.
Laura MunozRMParticipated in the conference call and stated the regional office received notice of staff not properly wearing face coverings.
Troy OrdonezLPMParticipated in the conference call and is the Licensing Program Manager.
Dina JonesLife Enrichment DirectorParticipated in the conference call.
Konnor LeitzellLicensing Program AnalystConducted the conference call and authored the report.

Inspection Report

Complaint Investigation
Census: 92 Capacity: 118 Deficiencies: 0 Date: Nov 10, 2020

Visit Reason
The visit was conducted as a case management incident investigation following receipt of an incident report by the Community Care Licensing Division on 11/2.

Complaint Details
The visit was triggered by an incident report received by CCLD on 11/2. The Licensing Program Analyst requested clarification and additional documentation related to a resident's death report.
Findings
The Licensing Program Analyst contacted the Life Enrichment Director to request resubmission of the death report due to conflicting dates and additional details regarding the staff who found the resident and conditions prior to or contributing to death. Several documents were requested for submission by 11/13/2020 for review.

Report Facts
Residents: 602

Employees mentioned
NameTitleContext
Kimberly DelgadoAdministratorFacility administrator mentioned as out on leave during the investigation
Dina JonesLife Enrichment DirectorContacted by Licensing Program Analyst regarding incident report and document requests
Konnor LeitzellLicensing Program AnalystConducted the investigation and requested additional documentation
Troy OrdonezLicensing Program ManagerNamed as Licensing Program Manager on the report

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